Health Care opposite the Editorial Page Publication Students will take an issue related to health care and craft an op-ed. You will need to take a stand on the issue and defend your rationale and position.
Health Care opposite the Editorial Page Publication
What is an Op-ed?
An op ed or “opposite the editorial page” or “opinion editorial” is a written piece published by news media that expresses the opinion of an author not affiliated with the publications editorial board.
Tips for Op-ed writing; adapted from the Op Ed Project, theopedproject.org
Getting started: The Basics
Own your expertise
Stay current
The perfect is the enemy of the good
Cultivate a flexible mind
Use plain language
Respect your reader
Questions to Ask Yourself When Writing
Why should we readers trust you?
Can you back up what you say?
What is new?
So what?
What is the difference between being right and being effective?
How will your ideas and arguments contribute to the conversation, and be helpful to your audience?
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Use article web attached for the literature review I will attach a sample written literature review as a guide to follow See rubrics and instruction needed as attached
Article Critique Assignment
Formal research studies follow a systematic research process. The quality of a research study lies within all stages of the study research process. This assignment aims at integrating the major basic research processes in quantitative research concepts.
Select any quantitative nursing research article you are interested in. Compare and comment on the various sections of the study based on the ideal steps of the research process.
Choose the study from a journal probably peer reviewed journal not a mere internet site. Ensure that the chosen article will enable you answer the questions the critique assignment should address.
Based on the steps of an ideal research process, read and critique the entire study using the information from Chapter 12 of the course book. Provide definitions and explanation of applicable step of the research process before each critique.
Reference cited statements from course textbook and the research study are needed to support each of the sections critiqued. Adhere to the evaluation of the Evaluation of Scholarly Paper Rubric.
Questions to address: Problem Statement and Purpose of Study o Identify the problem statement and/or purpose of the study o Is the problem significant to nursing? o Does the purpose narrow and clarify the aim of the study?
Literature Review o Does the literature review demonstrate progressive development of ideas through previous research? What is the relationship of this study to similar previous studies in the literature review? o Does the literature review provide a rationale (gap) and direction for the study? o Are the findings of previous studies used to generate the research problem and purpose?
Theoretical Framework o Is a theoretical knowledge base (framework) developed for the problem and purpose? If a framework is provided, is it adequate to explain the phenomenon of concern?
Objectives, Research Questions and hypotheses o Identify the hypotheses or research questions o Are the objectives, questions, or hypotheses expressed clearly? o Are the objectives, questions, or hypotheses logically linked to the research purpose and framework?
Variables o Identify Research Variables-Independent and dependent variables of the study. o Are the variables conceptually and operationally defined?
Research Method/Design o Identify the quantitative research design of the study o Is the design used the most appropriate to obtain the needed data? o Is the design logically linked to the sampling method and statistical analyses?
Participants/Subjects o Describe the subjects being studied with inclusion and exclusion criteria o Are any subjects excluded from the study based on age, socioeconomic status, or race, without a sound rationale?
Sample Size o Identify the sampling method used in the study. o Is the sampling method adequate to produce a representative sample? o Were the sampling criteria appropriate for the type of study conducted? o Was power analysis used to determine sample size? Ethical Considerations o Are the rights of human subjects protected? o How were consents obtained? Are there any other ethical considerations?
Data Collection o What are the data collection methods? Are the data collection methods ethical? o Are the instruments clearly described? o Are validity and reliability of the instruments described?
Data Analysis o What statistical measures were used in data analysis? o Are data analysis procedures appropriate to the type of data collected?
Results/Findings o What are the results or findings of the study? o Are findings discussed in relation to each objective, question, or hypothesis? o Are the findings clinically significant? o How much confidence can be placed in the study findings?
Conclusion o Do the conclusions fit the findings from the analyses? o Are conclusions based on statistically significant and clinically significant results? o To what populations can the findings be generalized?
Limitations o What are the study limitations? Are there limitations the researcher did not identify?
Implications for practice and future Research o Does the author indicate the implications of the findings for practice? o Discuss how the research findings can be applied to nursing practice o Does the author indicate the implications of the findings for further research? What future research can be envisioned?
Listed below are criteria that you will use to critique your primary research article. Discuss how the investigator satisfied each criterion. Cite relevant passages in the articles, with reference to page number if appropriate. Don’t merely respond “yes” or “no’ to the presence or absence of each criterion—you must provide examples and rationale for your response.
Statement of the phenomenon of interest – 6 points 1. Is the phenomenon of interest clearly identified? 2. Has the researcher identified why the phenomenon requires a qualitative format? 3. Has the researcher described the philosophic underpinnings of the research?
Purpose – 5 points 1. Has the researcher made explicit the purpose of conducting the research? 2. Does the researcher describe the projected significance of the work to nursing?
Method – 6 points 1. Is the method used to collect data compatible with the purpose of the research? 2. Is the method adequate to address the phenomenon of interest? 3. If a particular approach is used to guide the inquiry, does the researcher complete the study according to the processes described?
Sampling – 9 points 1. Does the researcher identify the target and accessible population? 2. What sampling method was used? 3. What are the characteristics or inclusion criteria for the sample?
Data collection – 15 points 1. Is data collection focused on human experience? 2. Does the researcher describe data collection strategies (i.e., interview, observation, field notes)? 3. Is protection of human participants addressed and if so how? 4. Is saturation of the data described? 5. Has the researcher made explicit the procedures for collecting data?
Data analysis – 20 points 1. Does the researcher describe the strategies used to analyze the data? 2. Has the researcher remained true to the data? 3. Does the reader understand the procedures used to analyze the data? State the procedure 4. Does the researcher address the credibility, auditability, and fittingness of the data? Credibility a. Do the participants recognize the experience as their own?
Auditability a. Can the reader follow the researcher’s thinking? b. Does the researcher document the research process?
Fittingness a. Can the findings be applicable outside the study situation? b. Are the results meaningful to individuals not involved in the research? 5. Is the strategy used for analysis compatible with the purpose of the study?
Findings – 10 points 1. Are the findings presented within a context? 2. Is the reader able to grasp the essence of the experience from the report of the findings?
3. Are the researcher’s conceptualizations true to the data? 4. Does the researcher place the report in the context of what already is known about the phenomenon?
Conclusion, implications, and recommendations – 12 points 1. Do the conclusions, implications, and recommendations give the reader a context in which to use the findings? 2. Do the conclusions reflect the study findings? 3. Does the researcher offer recommendations for future study? 4. Has the researcher made explicit the significance of the study to nursing?
Use of proper format (APA), grammar, spelling, and punctuation – 17 points Student Paper General Requirements and Guidelines 1. All papers must be typewritten or printed on standard 81/2 x 11 inch white bond paper. The type-face should be times roman or courier. Do not use bold or other styles of type. Limit the use of italicized words. 2. All papers must have a title page that includes a page header, running head, title and author’s name and affiliation. 3. All papers must have margins of at least 1 inch at the top, bottom, left, and right of every page. Do not justify the right margin and do not hyphenate words at the end of a line. 4. The entire paper must be double-spaced including the reference list. 5. The first line of every paragraph in the paper must be indented 5 spaces. 6. There must be only 1 space after commas, colons, semi-colons, punctuation marks at the end of sentences, and periods after initials. 7. Headings may be used to organize the paper into sections. 8. The reference list must include only those references cited in the text of the paper. 9. All ideas that are not your own must be cited within the text of the paper and referenced in the reference list. Failure to do so is PLAGIARISM. 11. Limit the use of direct quotes by paraphrasing ideas taken from references. These paraphrases do need to include citation of the author(s). 12. The citation after direct quotes must include the page number of the reference that is being quoted.
Qualitative Article Critique
Introduction There is a significant increase in the nursing shortage here in America and the number is only getting higher. The qualitative research study that was critiqued for the purpose of this paper discussed the reasons for this issue.
A phenomenological research method was used to investigate the factors that had an impact on the registered nurses’ decisions to leave the practice, therefore causing a larger nursing shortage in the healthcare field. The investigation yielded results that were consistent with the conceptualizations of the researchers.
Phenomenon of Interest The phenomenon of interest is clearly identified throughout the article as the registered nurses’ decisions to either leave the clinical setting or to leave the field of nursing in general.
The underlying problem and reason for the study to be conducted was due to the continuous increase in the shortage of nurses in the clinical field. This shortage is partly because not enough people are going in to the profession in the first place and partly because those that do enter the profession, end up leaving shortly after for whatever reason.
The researcher has identified that this phenomenon of interest requires a qualitative format due to the method that was required in order for them to collect their desired data accurately. ” Because the focus of the research is related to the perceptions of the RNs, and because no definitive research exists about this phenomenon, an interpretive, qualitative study was deemed appropriate” ( MacKusik & Minick, 2010).
The qualitative format was the best format to approach this topic with because of the nature of the desired information.
The philosophical underpinnings of the research was not identified but the reader can infer that the researchers’ philosophy is based on improving the factors identified that cause nurses to leave clinical practice so that the nursing shortage can be reduced and more competent nurses are available on hospital units to provide quality care.
Purpose The researcher has defined the purpose of conducting the research clearly in the beginning of the article. They began by stating statistics regarding the future of nursing and how the shortage of nurses at the bedside is projected to increase in just 10 years.
The researchers went on to describe how the shortage of nurses is attributed things such as job dissatisfaction, difference in salaries to other professions and uncomfortable working environments.
They stated that although research has been done to figure out what possible factors could contribute to the shortage, none of them have been directed towards nurses that have been through it and left the field because of it.
The purpose of the study is ” to identify the factors or reasons that influenced the decision of the registered nurses to leave clinical nursing practice (MacKusik & Minick, 2010).
This study is significant to nursing because investigating the reasons that nurses leave the clinical setting will help nursing leaders and supervisors know what to look out for when bringing new nurses to the unit and how to help them adjust to the job.
It will allow for them to increase their retention rate by preventing the problems described by former nurses from happening again.
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Hyperthyroidism Diagnosis and Symptoms Post in the discussion board the name of the condition ( HYPERTHYROIDISM).
Hyperthyroidism Diagnosis and Symptoms
The assignment must include the following: the definition, diagnosis and symptoms, possible causes or risk factors, possible treatments of the clinical condition, and at least two references.
Do not copy exactly from sources, but paraphrase and follow the order of topics to cover as requested above. All work will be checked for Plagiarism, especially from internet sources. % words in sequence that are identical to another source are considered plagiarism and will earn zero (0%). Make it as complete as possible if you want 100% in this assignment (not just one or two short paragraphs, it is a RESEARCH PAPER).
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Glomerulonephritis Diagnostic Analysis Case Studies A 7-year-old boy was brought to his pediatrician because he had developed hematuria, which required hospitalization.
Glomerulonephritis Diagnostic Analysis Case Studies
Approximately 6 weeks before his admission, he had a severe sore throat but received no treatment for it. Subsequently, he did well except for complaints of mild lethargy and decreased appetite.
Approximately 3 weeks before admission, he had a temperature of 101° F daily for 7 days.
He complained of minimal bilateral back pain. Physical examination revealed a well-developed young boy with moderate bilateral costovertebral angle (CVA) tenderness.
The remainder of the physical examination results was negative. His blood pressure was 140/100 mm Hg in both arms and legs.
Studies Results Urinalysis, p. 956 Blood +4 (normal: negative) Protein +1 (normal: negative) Red blood cell casts Positive (normal: negative) Specific gravity 1.025 (normal: 1.010-1.025) Color Red-tinged (normal: amber-yellow) Urine culture and sensitivity (C&S), p. 973 No growth after 48 hours Blood urea nitrogen (BUN), p. 511 42 mg/dL (normal: 7-20 mg/dL)
Creatinine, p. 190 1.8 mg/dL (normal: 0.7-1.5 mg/dL) Creatinine clearance test, p. 193 64 mL/min (normal: approximately 120
mL/min) Renal ultrasound, p. 866 No tumor; kidneys diffusely enlarged and edematous Intravenous pyelogram (IVP), p. 1057
Delayed visualization bilaterally; enlarged kidneys, no tumor; no obstruction seen Renal biopsy, p. 751 Swelling of glomerular tuft, along with polymorphonuclear leukocyte infiltrates in Bowman’s capsule (findings compatible with glomerulonephritis); immunofluorescent staining, positive for IgG Anti-DNase-B (ADB) titer, p. 79 200 units (normal: =170 units) Total complement assay, p. 172 33 units/mL (normal: 75-160 units/mL)
Case Studies 2
Diagnostic Analysis
The blood, protein, and RBC casts in the boy’s urine indicated a primary renal disorder. The elevated creatinine and BUN levels indicated that the problem was severe and markedly affecting his renal function.
Both kidneys were probably equally impaired. Intravenous pyelogram (IVP) was helpful only in ruling out Wilms tumor or congenital abnormality. Normally an IVP would not be performed in light of this patient’s impaired renal function.
It is presented here for a demonstration of the information it can provide. Renal ultrasound is a much safer test to visualize the kidney to exclude neoplasm. The ultrasound findings were compatible with an inflammatory process involving both kidneys.
Renal biopsy was most helpful in suggesting glomerulonephritis. The history of recent pharyngitis, fever, the positive ASO titer, the positive ADB titer, and the finding of immunoglobulin IgG antibodies on the immunofluorescent stain all suggested post-streptococcal glomerulonephritis.
The patient was placed on a 10-day course of penicillin. He was given antihypertensive medication, and his fluid and electrolyte balance was closely monitored. At no time did his creatinine or BUN level rise to a point requiring dialysis.
After 6 weeks, his renal function returned to normal (creatinine, 0.7 mg/dL; BUN, 7 mg/dL). Hisantihypertensive medications were discontinued, and he remained normotensive and returned to normal activity.
Glomerulonephritis Diagnostic Analysis Case Studies Critical Thinking Questions
At what point would the BUN and creatinine have signified the need for dialysis? 2. What was the cause of the patient’s hypertension? 3. What would you do if this patient had developed a swollen mouth and neck after the IVP?
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Discussion on Inter Professional Collaboration Using the readings and activities from the module “Interprofessional Healthcare and Education” and supplemental information you find, respond to the questions below.
Discussion on Inter Professional Collaboration
Each question will require at least a paragraph to sufficiently answer the question (combined at least 300 words).
What is Interprofessional Collaboration? What are the barriers to Interprofessional Collaboration? Why is Interprofessional Education/Collaboration so important?
When it comes to U.S. health insurance Quality Improvement (and specifically using data to impact change), the Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most popular measuring tools. Students can read more about it here:
For this scavenger, students should use their favorite web search tool to identify a recent news article (published within the last 6 months) that has HEDIS as a primary topic of discussion.
Next, the student should write a synopsis of the article. The synopsis should not be a point blank word for word copying of the article, but it should just include key points.
After the synopsis, the student should write their opinion on how the items discussed, in the article, impact patients now and moving into the future.
Finally, talk about why systems, such as HEDIS, are important.
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Registered Nurse, Case Manager, Physical Therapist, Occupational Therapist, Audiologist/Speech Therapist, Physician Assistant, Medical Assistant, Respiratory Therapist, Radiologist, Radiology Technician, Public Health Worker, Dietician/Nutritionist, Pharmacist, Dentist, Nurse Practitioner, Nurse Anesthetist, Child Life Specialist, Paramedic, Dental Hygienist, Research Coordinator
List your three (3) selected professions in the title of your post. University level writing and APA format required (correct in-text citations, references, abbreviations, and quotations).
Answer questions 1-5 on each of the 3 selected professions.
What education/experience is required for this profession?
Administer medication safely. monitor, and evaluate the outcomes of the medication, both positive and negative
The assignment consists of 3 parts.. part one contain 3 questions to answer, part 2 is a case study reading and answer the questions, part 3 is the case study as well and answer questions
Case Studies
Your role as a Developmental Service Worker is to administer medications safely. Another significant role is to monitor, and evaluate the outcomes of the medication, both positive and negative.
Review the following case studies and answer the questions.
The challenge is “putting it all together” in a way that demonstrates your understanding of various types of medication as well as the various diagnoses. In order to answer the questions, you must research each of the medications, and also have some knowledge of the various diagnoses. Some of your answers will require your creative problem solving, as you may not find the answer in a text. If you can recall some of the classroom discussions, it might be helpful.
To gather information, you will be using the course text, Essentials of Pharmacology for Health Professions, Guide to Drugs in Canada, class notes and power point presentation (week 8); you may also access reliable web sites: Canoe Health, WebMD., Epilepsy Canada, CAMH, (Wikipedia is NOT considered a reliable website.)
Part 1
1. Explain the following terms and give examples of each; a) Psychotropic medication b) Typical and Atypical medication c) Delusion d) Hallucination
2. Give a brief description of; a. Drug tolerance b. Drug dependence
3. As a DSW, briefly describe in one – two paragraphs how you would ensure an individual with an intellectual disability has consistent support while transitioning onto a new medication. i.e. teaching, protocols
Part 2
4. Rob sustained a brain injury due to trauma at age 18 months and is now 25 years old. Rob has a moderate (to severe) developmental disability and he has complex partial seizures.
• Rob also has behavioural problems in that he can be aggressive at times. Rob becomes very frustrated when he is told “no” or that he cannot do something that he believes that he can, such as taking the train by himself to Montreal to look after his elderly grandmother.
• In the last month, Rob’s aggression of yelling profanities at staff and threatening them has increased significantly. Rob also has an older sibling who has been diagnosed with a bipolar disorder but does not have a developmental disability.
• Rob was assessed by his neurologist 2 months ago. Due to being seizure-free for 2 years, the neurologist decreased the Depakote (Divalproex Sodium) by 250 mg/day. Rob is due to return to the neurologist for a 6-month follow-up in 4 months’ time.
• Rob eats regular diet, but the foods must be chopped into bite-sized pieces or smaller.
Rob’s Medications include:
Depakote (Divalproex Sodium): 250mg in the morning and 500mg at night. Ferrous gluconate: 300mg once daily.
Answer the following questions:
a) Identify the drug classification for each medication and suggest the reason why they were prescribed. Is it possible that one medication may have been playing a dual role?
b) Depakote (Divalproex Sodium) is ‘enteric coated’. Explain what that means.
c) Write directions for your co-workers as to the best way to administer both of his medications. What times for medication administration would you suggest? Explain how you would use Rob’s input.
d) You are accompanying Rob to a routine 3-month follow-up with his primary physician. What information would you help Rob to share with the physician? Explain why.
e) What tests do you think the physician should be ordering? Explain why.
f) How would you explain the type of seizures that Rob has to a new co-worker. Explain the rationale for not restraining Rob during a seizure.
Part 3
5. Paul is 30 years old and has a severe developmental disability of unknown origin. Paul’s living arrangements includes 24-hour support in a group living situation. He has been taking Haldol 1 mg twice daily plus Benztropine 2 mg twice daily for over 10 years. • Paul exhibits aggression that consists mostly of pinching staff. Staff interprets the pinching to be his way of communicating things he considers urgent. The pinching seems to mean a variety of things such as “you are in my chair”, “I need to go to the bathroom”, “I am ready for dinner”, “I don’t feel well”, “it hurts when I void (pee)”, and it’s really hot in this house”. • Recently the aggression has increased up in frequency from, once a month to 3 – 4 daily. • The psychiatrist has decided that due to long term use of Haldol and its apparent ineffectiveness, she has prescribed Celexa 10 mg twice daily to start slowly. • If effective the Haldol will be slowly decreased and stopped. • Paul has gained 10 lbs. over the past year and burps frequently during the day, after which he makes a sour face. Why do you think that is happening? • Paul eats a regular diet, and the residential direct care staff has been known to offer food to temporarily appease him.
Answer the following questions;
a) Identify the drug classification for each medication and suggest the reason why they were prescribed.
b) Explain the meaning of the term ‘dual diagnoses.
c) What format of the medication would best be suited for Paul? Write directions for your co- workers as to the best way to administer his medication. What times for medication administration would you suggest?
d) Explain the rationale for slowly decreasing the Haldol, rather that stopping it abruptly.
e) You are accompanying Paul to a routine 3-month follow-up with his primary physician. What information would you help Paul to share with the physician? Explain why.
f) What non-medication actions could you use to help Paul to reduce his weight? The weight gain could aggravate his hiatus hernia or a gastro-esophageal reflux which in turn may require management with additional medication.
g) Devise a way of monitoring the effectiveness of the new medication.
h) What information would you assist Paul to share with the psychiatrist?
i) What are Paul’s rights when the physician prescribes psychotropic medication?
j) What is the term for the person who could legally assist Paul to make medical decisions?
k) Does Paul have the right to refuse to take medication? What action might you take if Paul did refuse to take his medication?
l) While you were preparing Paul’s medication, you accidentally dropped a Celexa tablet onto the floor. What actions would you take? (Include how you would dispose of the medication.
m) How would you store each of these medications?
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For each question you can select one of two responses. Once you submit your answer to the question you will be provided with a brief summary and a percentage of individuals who agreed with your response. You are to take notes for each question as you go along in the quiz, as you only are able to take the quiz once. In a 2-page paper, complete the following:
For each question provide a brief description of the case, your response, and the percentage of individuals who agreed with you.
Explain the rationale for your response and identify and examine the ethical principles and theories the case presented. Support your rationale with scholarly reference(s).
Conduct additional research to gather sufficient information to support your analysis.
Find one-two articles that are healthcare industry related on two or more of the financial terms listed. (see below the rest of the instructions)
Part 1: Find one-two articles that are healthcare industry related on two or more of the financial terms listed: Buy-or-lease decisions, depreciation, equipment purchase, financial lease, lease-purchase, operating lease, present value.
Part 2: What are the different pros and cons for leasing vs buying for a for-profit healthcare organization compared to nonprofit organization?
Include in your paper:
A brief summary of the article (One paragraph; 4-6 sentences)
An explanation of two different financial terms listed in the article
Non-profit vs For-Profit buying vs leasing pro/con comparison
Explain the most important consideration from your research/analysis—a major point you do not want to forget, and why
Provide in-text citation where appropriate (APA), APA References
Grading Rubric:
This assignment should be 2 pages MAX (excluding Title and Reference Page).
The assignment should be typed and submitted on a Word Document in APA format: size 12 font Times New Roman, normal margins (1 inch all around), double spaced. A minimum of Two (2) references are required in proper APA format.
References can come from a refereed peer reviewed journal article, course textbook, and or an Internet source. Note that research publication dates should be from September of 2014 to the current date.
Title Page: Student Name (First and Last) Student Panther ID Number Title of Assignment- 5
A brief summary of the article (One paragraph; 4-6 sentences)- 5
An explanation of two different financial terms listed in the article- 10
Non-profit vs For-Profit buying vs leasing pro/con comparison-10
Explain the most important consideration from your research/analysis-10
APA Format: reference Page, appropriate in-text citations (proper APA format for Two references and citations in the body of the presentation is seen)-5
College level writing and thinking, which includes the following: logic, organization, evidence, complete sentences, proper grammar, spelling, punctuation, mechanics and APA formatting-5
TOTAL-50
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